<%@ include file="includes/top.jsp"%>

<s:form action="/shop/newOrder.do" cssStyle="workingOrderForm" method="post">

	<TABLE bgcolor="#008800" border=0 cellpadding=3 cellspacing=1 bgcolor="#FFFF88">

		<TR bgcolor="#FFFF88">
			<TD colspan=2><FONT color=GREEN size=4><B>Payment Details</B></FONT></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Card Type:</TD>
			<TD><s:select name="workingOrderForm" id="order.cardType" list="creditCardTypes"/></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Card Number:</TD>
			<TD>
				<s:textfield name="workingOrderForm" id="order.creditCard" />
				<font color=red size=2>* Use a fake number!</font>
			</TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Expiry Date (MM/YYYY):</TD>
			<TD><s:textfield name="workingOrderForm" id="order.expiryDate" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD colspan=2><FONT color=GREEN size=4><B>Billing Address</B></FONT></TD>
		</TR>

		<TR bgcolor="#FFFF88">
			<TD>First name:</TD>
			<TD><s:textfield name="workingOrderForm" id="order.billToFirstName" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Last name:</TD>
			<TD><s:textfield name="workingOrderForm" id="order.billToLastName" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Address 1:</TD>
			<TD><s:textfield size="40" name="workingOrderForm" id="order.billAddress1" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Address 2:</TD>
			<TD><s:textfield size="40" name="workingOrderForm" id="order.billAddress2" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>City:</TD>
			<TD><s:textfield name="workingOrderForm" id="order.billCity" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>State:</TD>
			<TD><s:textfield size="4" name="workingOrderForm" id="order.billState" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Zip:</TD>
			<TD><s:textfield size="10" name="workingOrderForm" id="order.billZip" /></TD>
		</TR>
		
		<TR bgcolor="#FFFF88">
			<TD>Country:</TD>
			<TD><s:textfield size="15" name="workingOrderForm" id="order.billCountry" /></TD>
		</TR>

		<TR bgcolor="#FFFF88">
			<TD colspan=2>
				<s:checkbox name="workingOrderForm" id="shippingAddressRequired"/>
				Ship to different address...
			</TD>
		</TR>

	</TABLE>
	
	<s:submit>
		<img src="../images/button_submit.gif">
	</s:submit>
</s:form>

<%@ include file="includes/bottom.jsp"%>
